Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06585 | Date 30/09/2019 |
| Token No | SM/19-20/11365 30/09/2019 | Serial | 038 Last Visit: 30/09/2019 |
| Patient Name | Mr. BALESWAR MAHATO | Contact No | 8969213246 |
| Address | SERAMPORE BOROBAGAN | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||